,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #gfcd  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bh1          
#bjbb,mrs4 ,rodgers of ,washington 7for 
herself1 ,mr4 ,banks1 ,mr4 ,wenstrup1   
and ,mr4 ,burgess7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xi of the  
,social ,security ,act to prohibit the  
use of quality-adjusted life years and  
similar measures in coverage and payment
 determinations under ,federal health   
care programs4  #a4 ,short title ,this  
,act may be cited as the ,protecting    
,health ,care for ,all ,patients ,act of
 #bjbb4  #b4 ,prohibiting the use of    
quality-adjusted life years and similar 
measures in coverage and payment        

determinations under ,federal health    
care programs  7a7 ,in general ,section 
#aahb7;e7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acbj;e-#a7;e77 is       
amended-- 7#a7 by striking ,the         
,secretary shall not and inserting ,a   
,federal agency or ,state may not2  7#b7
 by inserting 1 including by using a    
price developed by any entity or        
government that is based on such an     
adjusted life year 7or such a similar   
measure7 or using averages or other     
pricing metrics that directly or        
indirectly take into account such       
prices1 after 7or such a similar        
measure72 and  7#c7 by striking under   
title ,,xviii4 and inserting the        
following3 under any ,federal health    
care program 7as defined in section     
#aabh;,b1 except that such term shall   
include the health program established  
under chapter #hi of title #e1 ,united  
,states ,code744  7b7 ,conforming       
amendments  7#a7 ,medicaid ,section     
#aijb7;a7 of the ,social ,security ,act 

7#db ,u4,s4,c4 #acif;a7a77 is amended-- 
7,a7 in paragraph 7#hf71 by striking and
 at the end2  7,b7 in paragraph         
7#hg77;,d71 by striking the period and  
inserting 2 and2 and  7,c7 by inserting 
after paragraph 7#hg7 the following new 
paragraph3  7#hh7 provide for compliance
 with the requirements of section       
#aahb7;e7 7relating to prohibiting the  
use of certain measures in coverage     
determinations1 reimbursement1 and      
incentive programs74  4  7#b7 ,,chip    
,section #bajb of the ,social ,security 
,act 7#db ,u4,s4,c4 #acig;bb7 is amended
 by adding at the end the following new 
subsection3  7d7 ,prohibition on the use
 of quality-,adjusted life years and    
similar measures ,a ,state child health 
plan shall provide for compliance with  
the requirements of section #aahb7;e7   
7relating to prohibiting the use of     
certain measures in coverage            
determinations1 reimbursement1 and      
incentive programs74  4